Ethnic variations regarding clinical profiles and symptom representation in prisoners with psychotic disorders

D. Denzel, J.M. Harte, M. Van den Bergh, E.J.A. Scherder

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background
Black and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms.

Aims
To explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders.

Method
In this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview. Data were analysed by means of a multilevel analysis.

Results
BME patients with psychotic disorders are over-represented in forensic psychiatry, and symptom profiles of prisoners with psychotic disorders vary by ethnicity. Additionally, severity levels of overall psychopathology differ between ethnic groups: patients with an ethnic majority status show more severe levels of psychopathology compared with BME patients.

Conclusions
There are differences in symptom severity and symptom profiles between BME patients and non-BME patients. Disregarding these differences could have an adverse effect on the outcome of the treatment. Possible explanations and clinical impact are discussed.

Declaration of interest
None.
Original languageEnglish
Pages (from-to)18-28
Number of pages11
JournalBJPPsych Open
Volume4
Issue number1
DOIs
Publication statusPublished - Jan 2018

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Prisoners
Psychotic Disorders
Ethnic Groups
Forensic Psychiatry
Psychopathology
Multilevel Analysis
Minority Groups
Netherlands
Psychiatry
Interviews
Delivery of Health Care
Research

Bibliographical note

Published online: 01 February 2018

Cite this

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title = "Ethnic variations regarding clinical profiles and symptom representation in prisoners with psychotic disorders",
abstract = "BackgroundBlack and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms.AimsTo explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders.MethodIn this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview. Data were analysed by means of a multilevel analysis.ResultsBME patients with psychotic disorders are over-represented in forensic psychiatry, and symptom profiles of prisoners with psychotic disorders vary by ethnicity. Additionally, severity levels of overall psychopathology differ between ethnic groups: patients with an ethnic majority status show more severe levels of psychopathology compared with BME patients.ConclusionsThere are differences in symptom severity and symptom profiles between BME patients and non-BME patients. Disregarding these differences could have an adverse effect on the outcome of the treatment. Possible explanations and clinical impact are discussed.Declaration of interestNone.",
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Ethnic variations regarding clinical profiles and symptom representation in prisoners with psychotic disorders. / Denzel, D.; Harte, J.M.; Van den Bergh, M.; Scherder, E.J.A.

In: BJPPsych Open, Vol. 4, No. 1, 01.2018, p. 18-28.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Ethnic variations regarding clinical profiles and symptom representation in prisoners with psychotic disorders

AU - Denzel, D.

AU - Harte, J.M.

AU - Van den Bergh, M.

AU - Scherder, E.J.A.

N1 - Published online: 01 February 2018

PY - 2018/1

Y1 - 2018/1

N2 - BackgroundBlack and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms.AimsTo explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders.MethodIn this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview. Data were analysed by means of a multilevel analysis.ResultsBME patients with psychotic disorders are over-represented in forensic psychiatry, and symptom profiles of prisoners with psychotic disorders vary by ethnicity. Additionally, severity levels of overall psychopathology differ between ethnic groups: patients with an ethnic majority status show more severe levels of psychopathology compared with BME patients.ConclusionsThere are differences in symptom severity and symptom profiles between BME patients and non-BME patients. Disregarding these differences could have an adverse effect on the outcome of the treatment. Possible explanations and clinical impact are discussed.Declaration of interestNone.

AB - BackgroundBlack and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms.AimsTo explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders.MethodIn this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview. Data were analysed by means of a multilevel analysis.ResultsBME patients with psychotic disorders are over-represented in forensic psychiatry, and symptom profiles of prisoners with psychotic disorders vary by ethnicity. Additionally, severity levels of overall psychopathology differ between ethnic groups: patients with an ethnic majority status show more severe levels of psychopathology compared with BME patients.ConclusionsThere are differences in symptom severity and symptom profiles between BME patients and non-BME patients. Disregarding these differences could have an adverse effect on the outcome of the treatment. Possible explanations and clinical impact are discussed.Declaration of interestNone.

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